| Ravi M Modh, CRNA | |
|
1212 Baltimore Pike Ste 200, Chadds Ford, PA 19317-7377 | |
| (610) 874-6448 | |
| Not Available |
| Full Name | Ravi M Modh |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 1212 Baltimore Pike Ste 200, Chadds Ford, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154013019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN699926 (Pennsylvania) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ14869500 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Englewood Hospital And Medical Center | Englewood, NJ | Hospital |
| Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Penn - Medical Group | 6204730955 | 3482 |
| Northern Valley Anesthesiology Pa | 0749194868 | 84 |
| Entity Name | University Of Penn - Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Ravi M Modh, CRNA 15 Hopkinson Ln, Somerset, NJ 08873-7460 Ph: (732) 491-7310 | Ravi M Modh, CRNA 1212 Baltimore Pike Ste 200, Chadds Ford, PA 19317-7377 Ph: (610) 874-6448 |
James Francis Roesner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1212 Baltimore Pike Ste 200, Chadds Ford, PA 19317 Phone: 610-874-6448 | |
Camiah Bandele, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1212 Baltimore Pike, Chadds Ford, PA 19317 Phone: 267-978-6406 | |
Kevin Dolan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1212 Baltimore Pike Ste 200, Chadds Ford, PA 19317 Phone: 610-874-6448 |